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Individual

DR. ALAN REID BULLOCK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
4582 N 1ST AVE, SUITE 170, TUCSON, AZ 85718-8603
(520) 318-6035
(520) 795-9953
Mailing address
4747 E CAMP LOWELL DR, TUCSON, AZ 85712-1256
(520) 731-5540
(520) 731-5540

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
16618
AZ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
277807
AZ
Enumeration date
08/18/2005
Last updated
09/10/2018
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